Organization Active NPI

Edinburg Medical Center, Inc.

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1114031887
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EDINBURG MEDICAL CENTER, INC.
Practice address
1200 S 10TH Ave
Edinburg, TX 78539-5516
Phone
(956) 383-2761
Fax
(956) 380-4022
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rolando Yarritu, M.D.
Title
Sec/Treasurer
Phone
(956) 383-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1200 S 10TH Ave
Edinburg, TX 78539-5516

Mailing address

1200 S 10TH Ave
Edinburg, TX 78539-5516
Phone (956) 383-2761

Other identifiers 1

IdentifierTypeStateIssuer
093991001MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1114031887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 10TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395516",
            "telephone_number": "956-383-2761",
            "fax_number": "956-380-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 10TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395516",
            "telephone_number": "956-383-2761",
            "fax_number": "956-380-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINBURG MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "YARRITU",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "SEC/TREASURER",
        "authorized_official_telephone_number": "956-383-2761",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093991001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.